Australian dental journal最新文献

{"title":"OSA pathophysiology: a contemporary update.","authors":"T M Tolbert, I Ayappa, D M Rapoport","doi":"10.1111/adj.13060","DOIUrl":"10.1111/adj.13060","url":null,"abstract":"<p><p>Defined as an elevated frequency of obstructive respiratory events in sleep, obstructive sleep apnoea (OSA) is driven by a combination of four pathophysiologic mechanisms: elevated upper airway collapsibility, unstable ventilatory control, impaired upper airway dilator muscle responsiveness and decreased arousal threshold. Established therapies such as continuous positive airway pressure (CPAP) and oral appliance therapy (OAT) work chiefly through targeting elevated collapsibility, which affects the majority of OSA patients. However, many patients respond poorly or do not tolerate these 'anatomic' therapies. The emerging field of 'precision sleep medicine' seeks to determine if novel treatment approaches specifically targeting the other, 'non-anatomic' mechanisms will improve treatment efficacy and acceptance. In this review, we consider the concepts underlying each pathophysiologic mechanism, the predisposing factors, and the potential implications for established and future OSA treatments.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S68-S83"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143539809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Obstructive sleep apnoea, sleep bruxism and gastroesophageal reflux - mutually interacting conditions? A literature review.","authors":"Davis C Thomas, Anna Colonna, Daniele Manfredini","doi":"10.1111/adj.13042","DOIUrl":"10.1111/adj.13042","url":null,"abstract":"<p><p>The purpose of the present manuscript is to provide an overview for researchers and clinicians summarizing the knowledge concerning the relationship between some of the main sleep-related conditions of dental interest: sleep bruxism (SB), obstructive sleep apnoea (OSA) and gastroesophageal reflux disease (GERD). Starting with the discussion of the evolving current knowledge on SB, the interconnections are discussed. Most of the available literature focused on the possible relationship between OSA and SB, but a clear pathophysiological connection or temporal relationship has not been identified. Despite the paucity of data on the possible commonalities, SB, OSA and GERD constitute a complex network of conditions that may affect the clinical and research dental practice, and they are rarely found in isolation. In this scenario, the key role of dental practitioners as sentinel in the case of these sleep-related conditions is important, thanks to their ability and the knowledge to identify signs, symptoms and risk factors that are signs of ongoing sleep-related conditions. Thus, dental practitioners are recommended to view bruxism as a potential gateway to medicine.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S38-S44"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142456901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ambulatory devices to detect sleep bruxism: a narrative review.","authors":"C Li, S Yap, A Loh, Y J Yap, O Kujan, R Balasubramaniam","doi":"10.1111/adj.13057","DOIUrl":"10.1111/adj.13057","url":null,"abstract":"<p><p>Sleep bruxism is a masticatory muscle activity that occurs during sleep and presents as rhythmic or non-rhythmic activities commonly seen in healthy individuals but might also represent movement or sleep disorders. Given that the clinical presentations of sleep bruxism are relevant to dentistry, the early detection of sleep bruxism is of particular interest to dentists. However, the gold standard for sleep bruxism diagnosis involves polysomnography with audio-visual recording - a resource intensive and mostly inaccessible diagnostic method. As such, ambulatory devices to detect sleep bruxism have the potential to address the limitations of polysomnography. This review of the literature was carried out up until December 2024 on commercially available ambulatory devices in detecting sleep bruxism. Select ambulatory devices appear promising as a preliminary screening tool for sleep bruxism both in clinical practice and for domestic use.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S53-S62"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11937739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Oral appliance therapy for snoring and obstructive sleep apnoea: a Practical Guide for Clinical Care.","authors":"R Balasubramaniam, K McCloy, F R Almeida, P A Cistulli","doi":"10.1111/adj.13062","DOIUrl":"10.1111/adj.13062","url":null,"abstract":"<p><p>Obstructive sleep apnoea (OSA) is a disorder associated with multiple cardiovascular, metabolic and neurocognitive comorbidities which impact the health and quality of life of patients. Dentists trained in dental sleep medicine have a significant role as part of a collaborative multidisciplinary team led by specialist sleep physicians in the overall management of OSA. Based on the recommendations of the medical team and the patient's preference, dentists have a pertinent role in the provision of oral appliance (OA) therapy for OSA. This narrative review provides a practical guide for OA therapy for snoring and OSA.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S84-S100"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Introduction to dental sleep medicine supplement.","authors":"I Darby","doi":"10.1111/adj.13065","DOIUrl":"10.1111/adj.13065","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":" ","pages":"S3"},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interdisciplinary management of an adolescent patient with a severely impacted mandibular canine","authors":"Y Zhang,&nbsp;DC-V Ong","doi":"10.1111/adj.13018","DOIUrl":"10.1111/adj.13018","url":null,"abstract":"<p>Impacted mandibular canines often result in a variety of clinical dilemmas. Orthodontic disimpaction of severely displaced mandibular canines may be extremely challenging and associated with significant patient discomfort and a high risk of iatrogenic damage. This case report demonstrates the interdisciplinary management of a horizontally impacted permanent mandibular canine, utilising a combination of three-dimensional radiology, biomodel fabrication and subsequent endodontic treatment. © 2024 Australian Dental Association.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"69 3","pages":"232-243"},"PeriodicalIF":1.9,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.13018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157259","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Survival of pre-formed zirconia crowns in primary teeth: A prospective practice-based cohort study","authors":"M Foster,&nbsp;J Patel,&nbsp;B Turlach,&nbsp;R Anthonappa","doi":"10.1111/adj.13021","DOIUrl":"10.1111/adj.13021","url":null,"abstract":"<p>Test your knowledge by reading the article and then completing the quiz. (This activity has a CPD time value of one hour which can be logged to your CPD logbook.)</p><p>Go to www.ada.org.au, log in with your member credentials and go to the Australian Dental Journal under the Services tab and select the ‘Quiz’ tile. Once you have completed the quiz, you can self-assess your answers by selecting the “Quiz answers” tile at the bottom of the page.</p><p><b>M Foster:</b> Writing – review and editing. <b>J Patel:</b> Writing – review and editing. <b>B Turlach:</b> Writing – review and editing. <b>R Anthonappa:</b> Writing – review and editing.</p>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"69 2","pages":"157-158"},"PeriodicalIF":2.1,"publicationDate":"2024-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.13021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140954815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging the evidence-to-practice gap: exploring dental professionals' perspectives on managing oral health during pregnancy in Tasmania, Australia","authors":"A Wilson,&nbsp;H Bridgman,&nbsp;S Bettiol,&nbsp;L Crocombe,&nbsp;H Hoang","doi":"10.1111/adj.13019","DOIUrl":"10.1111/adj.13019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Poor oral health is associated with adverse health, social and economic consequences for pregnant women. While dental professionals promote good oral health within the dental practice context, more broadly, women in the antenatal period face poor oral health outcomes. Therefore, this study explored dental professionals' perceptions of their role in managing the oral health of pregnant women and identified the barriers and facilitators to improving maternal oral health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study employed a descriptive qualitative method utilizing semi-structured interviews. Convenience and snowball sampling were used to recruit 13 dental professionals from Tasmania, Australia, comprising dentists (n = 10), oral health therapists (n = 2) and dental therapist (n = 1). Interviews were audio-recorded, transcribed verbatim and analysed using inductive thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three major themes were constructed from the interviews: (1) dental professionals' oral health care of women during pregnancy; (2) perceived challenges to maternal oral health; and (3) proposed strategies to improve maternal oral health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings suggest dental professionals' competence in maternal oral health, but that several barriers, such as dental care access and maternal factors, hinder oral health outcomes. To address these barriers, oral health policies that support interprofessional collaboration, professional training and evaluation of existing community oral health programmes are needed. © 2024 Australian Dental Association.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"69 3","pages":"219-231"},"PeriodicalIF":1.9,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.13019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How much continuing professional development is too much and how much is too little?","authors":"I Darby","doi":"10.1111/adj.13020","DOIUrl":"10.1111/adj.13020","url":null,"abstract":"","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"69 2","pages":"71-72"},"PeriodicalIF":2.1,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140920975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing oral health and the minimally important differences in oral health-related quality of life of non-diabetic and diabetic patients: a cross-sectional study","authors":"A Chen,&nbsp;ST Ng,&nbsp;V Goh,&nbsp;S-C Siu,&nbsp;KWS Yeung,&nbsp;YC Tsang,&nbsp;Q Wang,&nbsp;WK Leung","doi":"10.1111/adj.13017","DOIUrl":"10.1111/adj.13017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Non-diabetics and diabetics might have different oral health problems and impacts on their oral health-related quality of life (OHRQoL). Comparison of oral health status and coping strategies between these patients, and evaluation of factors associated with OHRQoL might facilitate better treatment planning for improved patient-centred outcome.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>One hundred and eleven non-diabetics and 107 diabetics attending a public hospital were clinically examined and evaluated for coping strategies (abbreviated coping orientation to problems experienced) and OHRQoL [short-form oral health impact profile (OHIP-14S)]. Factors associated with OHRQoL were analysed through correlation/partial correlation. Minimally important differences (MID) of OHIP-14S were calculated to confirm associations between attachment loss, caries, and tooth loss with OHRQoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Non-diabetics had worse periodontal status. Diabetics had more missing teeth. Non-diabetics and diabetics employed maladaptive coping to manage oral health problems. Overall, non-diabetics reported worse OHRQoL. Determination of MID showed that non-diabetics with high-severe attachment loss and &lt;20 teeth experienced poorer OHRQoL. Diabetics with caries, high-severe attachment loss, and &lt;25 teeth experienced poorer OHRQoL.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Different factors were associated with OHRQoL of non-diabetics and diabetics. Delivery of treatment aimed at maintaining teeth in a periodontally healthy and caries free state, and provision of more chewing units might help improve OHRQoL of diabetics. © 2024 Australian Dental Association.</p>\u0000 </section>\u0000 </div>","PeriodicalId":8593,"journal":{"name":"Australian dental journal","volume":"69 3","pages":"206-218"},"PeriodicalIF":1.9,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/adj.13017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140206281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}